Organization
CAROLINA BEHAVIORAL INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATE WOOD MA, BCBA (EXECUTIVE DIRECTOR/OWNER)
(864) 590-0458
Entity
Organization
Contact information
Practice address
270 GLENDOWER LN, CHESNEE, SC 29323-7925
(864) 590-0458
Mailing address
270 GLENDOWER LN, CHESNEE, SC 29323-7925
(864) 590-0458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11622562
SC
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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